Perigord, Jennifer Wilson

Perigord, Jennifer Wilson is an sole proprietor health care provider with primary practice located at 2623 S Seacrest Blvd , Boynton Beach FL 33435-7501. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Perigord, Jennifer Wilson can be contacted via phone (561) 737-7733.

Contact Information

Primary practice address
2623 S Seacrest Blvd Boynton Beach FL 33435-7501
Phone: (561) 737-7733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT11277 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X OT11277 Florida

Profile Details

NPI number 1497822266
LBN Legal business name Perigord, Jennifer Wilson
Credentials OT11277
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated May 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497822266 NPPES
Florida MEDICAID 889695000

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